{"id":2215,"title":"FARMER’s PACKAGE POLICY_SOOKSHMA CLAIM FORM","purpose":"claim","insurer":{"slug":"generali-central-insurance","name":"Generali Central Insurance Company Limited"},"source_pdf":"https://www.generalicentralinsurance.com/downloads/rural-insurance/farmers-package-policy-sookshma/claim-forms/farmers-package-policy-sookshma-claim%20form.pdf","sha256":"5e97c70da8783a3beb1d5b57168e2b2cc5ebefb49c8c085f12eb6dfd0869c44c","pages":6,"collected":"2026-10-17","instructions":{"about":"This form is used by the insured or claimant to file a claim under the Farmer’s Package Policy-Sookshma for various types of losses or damages covered by the policy.","notes":["Attach photographs of the loss or physical damage wherever possible.","Attach copies of other insurance policies if the loss is covered elsewhere.","Attach original doctor's certificates for personal accident claims if possible.","Attach FIR copy if lodged for relevant claims.","Use separate sheets if more space is needed for details.","This form is to be filled by the insured or claimant."],"title":"FARMER’s PACKAGE POLICY_SOOKSHMA CLAIM FORM","submit":{"to":"Generali Central Insurance Company Limited","how":"","address":"Unit No. 801 & 802, 8th Floor, Tower C, Embassy 247 Park, LBS Marg, Vikhroli (West), Mumbai – 400083"},"purpose":"claim","sections":[{"title":"Policy and Claimant Details","fields":[{"help":"","type":"text","label":"Agent/Broker","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Policy Number","options":[],"required":null,"pdf_field":""},{"help":"Enter the insurance coverage period","type":"text","label":"Period of Insurance","options":[],"required":null,"pdf_field":""},{"help":"Include phone, fax, email, street and house number, postal code and location","type":"text","label":"Insured (in whose name the policy is issued) & Contact Details","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Name of the claimant person (in respect of whom the claim is made)","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Relationship to the Insured","options":[],"required":null,"pdf_field":""},{"help":"Age in years","type":"number","label":"Present completed age","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Include city, state, and pin code","type":"text","label":"Residential Address","options":[],"required":null,"pdf_field":""},{"help":"Provide exact date, time and place where loss occurred","type":"text","label":"Date, Time and location of loss","options":[],"required":null,"pdf_field":""},{"help":"Select the applicable cover(s) for the claim","type":"choice","label":"Cover under which claim is made","options":["Building and Contents","Robbery and Burglary","Farm Produce","Agricultural Pump set","Poultry","Cart Protection & Liability","Tractors","Pedal Cycle","Personal Accident","Baggage"],"required":null,"pdf_field":""},{"help":"Describe the incident causing the loss in detail","type":"text","label":"Cause of Loss: Please give a full description of the event, the time, date, other parties involved, and any other relevant details","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Building and Contents Details","fields":[{"help":"Specify date and time (am/pm) of loss","type":"date","label":"Date of loss & Time of Loss","options":[],"required":null,"pdf_field":""},{"help":"Explain how the loss occurred and details of the building affected","type":"text","label":"Description the circumstances of Loss, how it happened, and what Caused Loss/Damage and details of the building","options":[],"required":null,"pdf_field":""},{"help":"Include city, state, and pin code","type":"text","label":"Loss Location Address","options":[],"required":null,"pdf_field":""},{"help":"Provide name, relationship with insured, phone, mobile, and email","type":"text","label":"Contact Details of person/s at Loss location","options":[],"required":null,"pdf_field":""},{"help":"List contents affected by the loss","type":"text","label":"Description of the Contents","options":[],"required":null,"pdf_field":""},{"help":"Describe the type and cause of loss","type":"text","label":"Nature of loss/ cause of loss","options":[],"required":null,"pdf_field":""},{"help":"Specify the use of the premises (e.g. residence, storage)","type":"text","label":"Premises Occupied as","options":[],"required":null,"pdf_field":""},{"help":"Provide estimated monetary value of loss or damage","type":"amount","label":"Your estimate of loss/ damage caused","options":[],"required":null,"pdf_field":""},{"help":"Indicate if there were witnesses to the loss/accident","type":"yes-no","label":"Witness Details","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide names of witnesses","type":"text","label":"If Yes, Name as Person/s","options":[],"required":null,"pdf_field":""},{"help":"Witness address including city, state, pin code","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Witness phone, mobile, and email","type":"text","label":"Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if loss was reported to any authority","type":"yes-no","label":"Information to Authority","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Explain why loss was not reported","type":"text","label":"If No, Reason for not reporting","options":[],"required":null,"pdf_field":""},{"help":"Specify the authority to which loss was reported","type":"text","label":"If Yes, Provide details: Fire/Police/Municipality/Other","options":[],"required":null,"pdf_field":""},{"help":"Name of the reporting authority","type":"text","label":"Name of Authority","options":[],"required":null,"pdf_field":""},{"help":"Provide report or reference number","type":"text","label":"Information report No./Authority reference no.","options":[],"required":null,"pdf_field":""},{"help":"Date of report","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Name of contact person at authority","type":"text","label":"Contact Person/s","options":[],"required":null,"pdf_field":""},{"help":"Address of authority including city, state, pin code","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Phone, mobile, and email of authority contact","type":"text","label":"Contact Details","options":[],"required":null,"pdf_field":""},{"help":"Indicate if loss is covered under any other insurance","type":"yes-no","label":"DETAILS OF OTHER INSURANCE","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide insurer name, address, policy number, period, sum insured, and contact details","type":"text","label":"If Yes, specify details and attach a copy of the policy","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Details of Others Interest","fields":[{"help":"Name of other insurer if applicable","type":"text","label":"Name of Insurer","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Is the Insured the Sole Owner of the property?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Describe nature of interest of others in the property","type":"text","label":"If No, please specify Nature of Interest","options":[],"required":null,"pdf_field":""},{"help":"Names of persons with interest","type":"text","label":"Person/s who has/have Interest on property","options":[],"required":null,"pdf_field":""},{"help":"Address of persons with interest including city, state, pin code","type":"text","label":"Address","options":[],"required":null,"pdf_field":""},{"help":"Phone, mobile, and email of persons with interest","type":"text","label":"Contact Details","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Claim Details for Property Destroyed, Damaged or Lost","fields":[{"help":"Attach separate sheet if required","type":"text","label":"Please provide details of claim for property destroyed or damaged or lost (Item no of the policy)","options":[],"required":null,"pdf_field":""},{"help":"Provide date of loss, claim description and cause, amount of loss, insurer for losses during preceding 3 years","type":"table","label":"Details of Previous Losses","options":[],"required":null,"pdf_field":""},{"help":"Indicate if you wish to provide any other information","type":"choice","label":"Details of Other Information","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide additional information if applicable","type":"text","label":"If Yes, specify","options":[],"required":null,"pdf_field":""},{"help":"Attach photos of the loss or damage","type":"attachment","label":"Please submit photographs of loss or physical damage, wherever possible.","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Specific Cover Details","fields":[{"help":"","type":"text","label":"Nature/Cause of loss","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Description of loss or damage including damage caused to locks if any","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the loss reported to the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If Yes, Case No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator been apprehended by the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Where was the item lost located before such loss occurred?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the time left unattended?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"If yes, was the same locked or secured, as the case may be?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the pedal cycle stolen or has there been loss of the accessories?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the loss reported to the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If yes, Case no.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator caught by the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Where has been the pedal cycle located before the loss occurred?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the pedal cycle unattended while it was lost?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the same securely fastened and/or locked while it was unattended?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Have you been given notice of any claim or proceeding in regard to accidental death or bodily injury and accidental damage to property arising out of or connected with the pedal cycle?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Where and how did the loss occur?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the loss reported to the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"If Yes, Case No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Has the perpetrator been caught by the Police?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Where was the baggage located before the loss occurred?","options":[],"required":null,"pdf_field":""},{"help":"","type":"yes-no","label":"Was the baggage securely locked?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Provide details of other insurance policy and insurer if applicable","type":"text","label":"Do you have any other insurance that may extend to cover your loss?","options":[],"required":null,"pdf_field":""}],"filled_by":"claimant or insured"},{"title":"Declaration and Signature","fields":[{"help":"Sign to confirm the declaration","type":"signature","label":"I hereby declare that the foregoing statements are by myself and are true in all respects and that I have not attempted to conceal from the Company anything with which it ought to be made acquainted.","options":[],"required":true,"pdf_field":""},{"help":"Signature of witness","type":"signature","label":"Witness","options":[],"required":null,"pdf_field":""},{"help":"Sign here","type":"signature","label":"Signature of the Insured","options":[],"required":true,"pdf_field":""},{"help":"Occupation of the insured","type":"text","label":"Occupation","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":true,"pdf_field":""},{"help":"Address of the insured","type":"text","label":"Address","options":[],"required":null,"pdf_field":""}],"filled_by":"insured or claimant"}],"deadlines":[],"applies_to":"Claims under Farmer’s Package Policy-Sookshma for Building and Contents, Robbery and Burglary, Farm Produce, Agricultural Pump set, Poultry, Cart Protection & Liability, Tractors, Pedal Cycle, Personal Accident, and Baggage","attachments":["Photographs of loss or physical damage","Copy of other insurance policy if applicable","Doctor's certificates and medical reports for personal accident claims","Copy of FIR if lodged (for tractor and other relevant claims)"],"declarations":["The statements made in this form are true and complete to the best of the claimant's knowledge.","The claimant has not concealed any information relevant to the claim."],"dropped_labels":10},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"GCIcare@generalicentral.com","label":"Claim Intimation Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"ses.\nCLAIM FORM\nYou can\nclick here\nand check our claim form\nCALL ON\n1800 220233\n1860 500 3333\n022 6783 7800\nEMAIL US AT\nGCIcare@generalicentral.com\nVISIT OUR BRANCH\nYou can check for your nearest branch\nhere\nClaim Process Simplified\nSimple steps to help you file a cl","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"GCIClaims@generalicentral.com","label":"Other Claim Intimation Email","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/other-claim-process","quote":"NLINE CLAIM INTIMATION\nYou can\nclick here\nto intimate claim\nCALL ON\n1800 220233\n1860 500 3333\n022 6783 7800\nEMAIL US AT\nGCIClaims@generalicentral.com\nVISIT OUR BRANCH\nYou can check for your nearest branch\nhere\nInitiate Quick Claim\nExtended Warranty\nMarine & Others\nProd","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 220 233","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"aim under your insurance policy.\nCashless Claim Process\nReimbursement Claim Process\n1\nIntimate us online or  Call us on 1800 220 233\n2\nSurveyor will inspect the vehicle.\n3\nProvide requested documents to surveyor\n4\nApproved claim amount will be communic","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1860 500 3333","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"Motor Claim Process | Generali Central\nGrievance Redressal\nQuick Pay\nNeed Analysis\n1860 500 3333\n|\n022 6783 7800\n1860 500 3333\n022 6783 7800\nProducts\nRenew\nClaim\nHelp & Support\nAbout Us\nTrending Searches\nHealth Insur","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"022 6783 7800","label":"Claim Intimation Phone","level":null,"hours":null,"applies_to":"all","source_url":"https://www.generalicentralinsurance.com/motor-insurance/motor-claim-process","quote":"Motor Claim Process | Generali Central\nGrievance Redressal\nQuick Pay\nNeed Analysis\n1860 500 3333\n|\n022 6783 7800\n1860 500 3333\n022 6783 7800\nProducts\nRenew\nClaim\nHelp & Support\nAbout Us\nTrending Searches\nHealth Insurance\nDog Insuran","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/generali-central-insurance/2215-farmers-package-policy-sookshma-claim-form"}